An 80-year-old patient asks a primary care NP about OTC antacids for occasional heartburn. The NP notes that the patient has a normal complete blood count and normal electrolytes and a slight elevation in creatinine levels. The NP should recommend:
a. calcium carbonate (Tums).
b. aluminum hydroxide (Amphojel).
c. sodium bicarbonate (Alka-Seltzer).
d. magnesium hydroxide (Milk of Magnesia).
A
Elderly patients with renal failure should not take antacids containing magnesium because of the risk of hypermagnesemia. Sodium-containing antacids may cause fluid retention in elderly patients. Aluminum hydroxide is not as effective as calcium carbonate.
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The double-layered sac that surrounds the heart is known as which of the following?
A) Endocardium B) Pericardium C) Myocardium D) Epicardium
Which of the following does the nurse recognize as the therapeutic goal of radiofrequency catheter ablation for a client with cardiac dysrhythmias?
A) Reperfusion of ischemic heart tissue B) Dilation of arterial blood vessels C) Destruction of errant tissue D) Stimulation of the impulse center
The physical therapy department and the nursing department at a local rehabilitation hospital are in conflict over which department is responsible for transporting patients to and from therapy appointments
The members of the therapy department state they do not have sufficient time to come to the nursing unit to pick up the patients and that patients often are not ready to be transported. Nursing staff members state that they do not have the time to transport the patients from the unit and this leaves a shortage of nursing personnel on the floor. Managers from both departments have attempted to resolve the conflict with input from nursing and therapy staff members. All attempts at conflict resolution have failed. What is the next step the managers should take? 1) Inform the nurses that they must take the patients to and from therapy. 2) Inform the therapists that they must take the patients to and from therapy. 3) Ask the hospital administrator to make an unbiased decision. 4) Begin informal negotiation between the two departments.
A client slipped and fell in the bathroom. When filling out an incident report, the nurse should
a. record complete, pertinent health information. b. write about the incident report in the client record. c. store the incident report in the client record. d. make untimely entries.